CEN24LA315

NTSB accident investigation · Grumman American Avn. AA-5B · Camdenton, MO · July 11, 2024

Accident · No injuriesClass 3 · LimitedFinal report
Date
July 11, 2024, 10:00 local (15:00 UTC)
Place
Camdenton, MO
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N23JKGrumman American Avn. AA-5B
Defining event
Takeoff: Sys/Comp malf/fail (non-power)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA
FAA report
20240711012419A
Case key
194929

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The inadequate maintenance of the seat locking mechanism, which resulted in the pilot’s seat sliding back during takeoff and a subsequent loss of control.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleGrumman American Avn. AA-5B: 6 casesAll aircraft: 3,958 casesProbable cause
Maintenance/inspectionsAircraft › Aircraft handling/service · Not serviced/maintainedGrumman American Avn. AA-5B: 1 caseAll aircraft: 103 cases

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

During the takeoff roll the pilot’s seat suddenly slid backward, and she was unable to reach the pedals, which resulted in a loss of control and runway excursion. Examination of the airplane revealed substantial damage to the engine mount, fuselage, and horizontal stabilizer. The pilot’s seat tracks were a newer heat-treated version. There were wear marks on the seat lock pin tip indicative of previous alignment issues. The spring that held the lock pins in place was installed incorrectly and the corresponding push-pull rod was bent. This incorrect spring placement shortened the travel of the spring and reduced the tension on the lock pins. The seat brackets that attach to the spar exhibited worn and elongated bolt holes, which created a misalignment of the seat support. It’s likely that the condition of the seat locking mechanism prevented the seat from locking correctly, which resulted in the seat sliding back during takeoff. A review of the available airframe maintenance records did not reveal any entries regarding inspections or work performed on the seats or the seat tracks. The investigation was unable to determine when the pilot’s seat was last inspected, when the lock pin spring was incorrectly installed, and by whom.

Factual narrative

On July 11, 2024, about 1000 central daylight time, a Grumman AA-5B airplane, N23JK, was substantially damaged when it was involved in an accident near Camdenton, Missouri. The pilot and two passengers were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that before starting the engine, she adjusted her seat to the appropriate position to reach the flight controls, and then wiggled the seat to ensure it was secure. After taxiing to the runway, she wiggled her seat again and prepared for takeoff. During the takeoff roll her seat suddenly slid backward, and she was no longer able to reach the pedals. The airplane departed the side of the runway and came to rest upright in a ravine. Examination of the airplane revealed substantial damage to the engine mount, fuselage, and horizontal stabilizer. The pilot’s seat tracks were a newer heat-treated version. There were wear marks on the seat lock pin tip indicative of previous alignment issues. The spring that held the lock pins in place was installed incorrectly and the corresponding push-pull rod was bent. The seat brackets that attach to the spar exhibited worn and elongated bolt holes, which created a misalignment of the seat support. The most recent annual inspection was completed on January 8, 2024, at airframe total time of 4,423.7 hours. A review of the available airframe maintenance records did not reveal any entries regarding inspections or work performed on the seats or the seat tracks.

Aircraft

Registration
N23JK
Reported as
Grumman American Avn. AA-5B
Category
Airplane
Serial number
AA5B-0022
Built
1975
Airframe hours
4,423.7
Engine
Lycoming O-360-A4K, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 8, 2024
Airport
OZS · Camdenton Meml-Lake Rgnl, runway 15/33, 5,002 × 75 ft, asphalt

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
47
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
February 24, 2024
Seat
Left
Restraint
3-point
Flight hours
113 total · 49 in this make and model · 71 as pilot in command · 12 in the last 90 days · 3 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
10,000 ft broken
Temperature
77 °F, dew point 64 °F
Altimeter
30.10 inHg
Observed at
KOZS
METAR
METAR KOZS 111715Z AUTO 00000KT 10SM BKN100 25/18 A3010 RMK AO2 LTG DSNT NE=

Docket · 6

The files NTSB released with the investigation on February 26, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 44.7 MB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.